A Comparative Study of Large Vessel Ischemic Stroke and Lacunar Stroke
Journal Title: Journal of Medical Science And clinical Research - Year 2018, Vol 6, Issue 3
Abstract
Stroke is a global epidemic and an important cause of morbidity. Stroke or cerebrovascular accident is defined as abrupt onset of focal Neurological deficit which is attributable to a focal vascular cause. Ischemic stroke include large vessel Ischemic stroke and lacunar stroke. Aim: To prove that incidence of lacunar stroke is more (>50%) in ischemic stroke and to find out any difference between risk factors for lacunar stroke and large vessel ischemic stroke. Materials and Methods: A cross sectional study consisted of 255 patients with first episode of CT proven ischemic stroke during a period of 6 months in a tertiary care centre in south Kerala. Results: Out of the 255 patients included in the study, 51.37% constituted lacunar stroke. Maximum number of stroke patients were in the age group 60-69 years (38% in the lacunar stroke group and 34% in the large vessel ischemic stroke group). Lacunar stroke was more in all age groups studied except 50-59 years and 80-89 years. Most common clinical presentation in both study groups were hemeparesis.65% of stroke patients were hypertensive in both groups and it was the major risk factor in both study groups.38% of large vessel ischemic stroke patients and 36% of the lacunar stroke patients were smokers which was the significant risk factor next to hypertension. Conclusion: The study showed the incidence of lacunar stroke is more than 50% of the total ischemic stroke. Maximum number of stroke patients in the lacunar stroke group and large vessel ischemic stroke group were in the age group of 60-69 years. Most important risk factor is hypertension followed by smoking in both groups. There was no significant difference in risk factors between large vessel ischemic stroke and lacunar stroke.
Authors and Affiliations
Udayamma KP
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